Understanding challenges, strategies, and the role of support networks in medication self-management among patients with type 2 diabetes

• Verfasst von: Bernhard, Gerda [VerfasserIn]
• Verfasst von: Ose, Dominik [VerfasserIn]
• Verfasst von: Baudendistel, Ines [VerfasserIn]
• Verfasst von: Seidling, Hanna [VerfasserIn]
• Verfasst von: Stützle, Marion [VerfasserIn]
• Verfasst von: Szecsenyi, Joachim [VerfasserIn]
• Verfasst von: Wensing, Michel [VerfasserIn]
• Verfasst von: Mahler, Cornelia [VerfasserIn]
• Titel: Understanding challenges, strategies, and the role of support networks in medication self-management among patients with type 2 diabetes
• Titelzusatz: a qualitative study
• Verf.angabe: Gerda Bernhard, Dominik Ose, Ines Baudendistel, Hanna M. Seidling, Marion Stützle, Joachim Szecsenyi, Michel Wensing, Cornelia Mahler
• Umfang: 16 S.
• Fussnoten: Gesehen am 22.05.2018
• Titel Quelle: Enthalten in: Diabetes educator
• Jahr Quelle: 2017
• Band/Heft Quelle: 43(2017), 2, S. 190-205
• ISSN Quelle: 1554-6063
• DOI: doi:10.1177/0145721717697243
• Datenträger: Online-Ressource
• Sprache: eng
• K10plus-PPN: 1575379031

Abstract

PurposeThe purpose of this qualitative study was to investigate the challenges and strategies of patients with type 2 diabetes mellitus (T2DM) regarding daily management of their medication regimen focusing on the role of their support networks.MethodsA purposeful sample of 25 patients with T2DM was recruited from local self-help groups, general practitioner practices, and a university hospital in southwestern Germany. Four semi-structured focus groups were conducted to identify the challenges patients experienced, the strategies they used, and their collaboration with support networks to assist them in self-managing their medication regimen. Sessions were audio- and video-recorded, fully transcribed, and subjected to computer-aided qualitative content analysis, guided by the Self- and Family Management Framework (SFMF).ResultsPatients with T2DM experienced numerous challenges affecting medication self-management arising from their personal situation, health status and resources, characteristics of their regimen, and how health care is currently organized. Patients? self-initiated strategies included activating health care, community, social, and online resources; taking ownership of medication-related needs; and integrating medication-taking into daily life. Patients drew on self-help groups, family, and friends to discuss concerns regarding medication safety and receive experience-based information and advice for navigating within the health care system as well as practical hands-on support with daily medication self-management.ConclusionsUnderstanding the challenges and building on strategies patients with T2DM devised help diabetes educators to better address patients? needs and priorities and guide patient-centered interventions to support patients? self-management activities. Community and social support networks operating in patients? lives need to be engaged in the self-management support.